Individual provider Active NPI

Laureen Anne Burke, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1154383602
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
216682-1 Issued in NY
Practice address
2275 Clinton Ave S
Rochester, NY 14618-2623
Phone
(585) 730-7024
Fax
(585) 563-8791
NPI assigned
Apr 3, 2006
Last updated
Apr 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 216682-1 NY Primary

Addresses

Primary practice location

2275 Clinton Ave S
Rochester, NY 14618-2623

Mailing address

2275 Clinton Ave S
Rochester, NY 14618-2623
Phone (585) 730-7024

Other identifiers 9

IdentifierTypeStateIssuer
7047288OtherNYAETNA
P030216682OtherNYBC/BS
000919293004OtherNYBC/BS OF WESTERN NEW YORK
02178403MedicaidNY
0296822OtherNYGHI
000919293005OtherNYBC/BS OF WESTERN NEW YORK
000919293006OtherNYBC/BS OF WESTERN NEW YORK
106821CKOtherNYPREFERRED CARE
P010216682OtherNYBLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000464 NY Practitioner - Obstetrics/Gynecology 4587623624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Health, Inc CurrentSince Aug 1, 2019 Accepting new patients
Trillium Health, Inc CurrentSince Aug 1, 2019 Accepting new patients
Strong Obstetrics-Gynecology Group Obstetrics & Gynecology PastSince Dec 1, 2024 Accepting new patients

Locations

259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1154383602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-730-7024",
            "fax_number": "585-563-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-730-7024",
            "fax_number": "585-563-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "LAUREEN",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "216682-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7047288",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "P030216682",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WESTERN NEW YORK",
            "identifier": "000919293004",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02178403",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0296822",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WESTERN NEW YORK",
            "identifier": "000919293005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WESTERN NEW YORK",
            "identifier": "000919293006",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "106821CK",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010216682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.